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MARION COUNTY BUILDING INSPECTION <br />SENATOR BLDG. NO. 225 <br />220 HIGH STREET NE <br /> E~,LEM, OREGON 97301 <br /> <br /> PHONE fi88-5147 <br /> CODE-A-PHONE 4,30" P,M~. - 8.00: A,M. <br /> <br />DATE~ 05/04/8? TIME~ 8:54~29a <br /> <br /> · 230 ,CENTER STREET <br />OE'rEOl:T' <br /> <br />OR 97342 <br /> <br />MAILIN~ ADDRESS; <br /> <br /> ~%tONE: 85~-375 <br /> <br />SUBDIVISION; MAY <br /> <br />SXTE NUFSER: . <br />VALUAT[ Off .; <br /> <br />OCCUPANCY: <br /> <br />OCCUPANT LOAO: <br /> <br />10 <br /> <br /> MAP: <br /> <br />N <br /> <br />~05 <br /> <br />TYP~: ON;,,~T~i ~NAGE; <br /> <br />mErrY, iT O~ APPI_ICATI~ NO: <br /> <br />CO~TRACTOR, NO. <br />~JSIC, ROBERT <br /> <br />WATER S.J~PLY ~' <br />T~T HOLEE, READY: <br />SITE EVALUATION NUMBER: NO RECORO <br />ED4ISTING T~IK SIZE: <br />EX[STiNG DRAIN FIELD LINES~ <br />SEPTIC T~NK <br />HOLDING TANK AGREE. MENT: <br /> <br />AF~¢I 0AVIT: <br />N[NTER WATER CN~CK: <br /> <br /> 1TE~fl QUANT I TY <br />, EX~T,ING. SYSTEM EVAL. RPT. · ' <br />  TOTAL ~ED FE~ $60,00 <br /> PREvia8 RECEIPTS $60,0O <br /> THIS R~E~PT $0.00 <br /> BA~CE ~E $0. <br /> <br /> PAYEE: INVOICE NO: <br /> RECEXVEO BY: ~ ~E: CH~K ~: <br /> <br /> SPEC[AL ~ I R~ENTS: ," - ...... '. <br /> <br /> · ~I$ [s A VALID ~lT * ~I$",PE~ "~P~ ~Q-~F~ I~ I~E ~TE. <br /> <br /> ~ ~ "::' . :,' 7,'. '.',:: "~:~' ".~' '"",":" .",': 7 ":': <br /> <br /> ~ALO E. ~OLEY, ~R[~ ~N~ 8UILD!N~.OF~IAC / 8,Y ,,., .. , _ .......... <br /> <br /> <br />